06D1033201 CLIA NUMBER - SAFEWAY PHARMACY #0862

Laboratory Demographics

  • CLIA Code: 06D1033201
  • Facility Name: SAFEWAY PHARMACY #0862
  • Facility Address: 3657 S COLLEGE AVE
    FORT COLLINS, CO
    ZIP 80525
  • Facility Phone: 970 223-1990
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MOLLY UNDERWAGER
  • NPI Number: 1568409084
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D1033201
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0862
Street 3657 S COLLEGE AVE
City FORT COLLINS
State CO
ZIP 80525
Phone 970 223-1990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Pharmacy
Lab Director MOLLY UNDERWAGER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025